Active NPI
Brenda Ann Bender, RPH
- Pharmacist
- Holland, MI
National Provider Identifier
1760803464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302028202
- Practice address
- 746 E 16TH St
Holland, MI 49423-3884 - Phone
- (616) 355-4833
- Fax
- (616) 355-4865
- NPI assigned
- Dec 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302028202 | MI | Primary |
Addresses
Primary practice location
746 E 16TH St
Holland, MI 49423-3884
Mailing address
746 E 16TH St
Holland, MI 49423-3884
Phone (616) 355-4833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302028202 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meijer Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1760803464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 E 16TH ST",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494233884",
"telephone_number": "616-355-4833",
"fax_number": "616-355-4865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 E 16TH ST",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494233884",
"telephone_number": "616-355-4833",
"fax_number": "616-355-4865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "BRENDA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-23",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.